title: Uterine arteriovenous malformation with sudden heavy vaginal hemmorhage.
abstract: Dysfunctional uterine bleeding (DUB) is a common presentation in the emergency department and has a wide differential. Most presentations of DUB are in hemodynamically stable patients and can be evaluated as an outpatient. Uterine arteriovenous malformation (AVM) is one presentation that can result in a life-threatening medical emergency with unexpected sudden and massive vaginal bleeding. We describe a case of a 24-year-old female with sudden heavy vaginal bleeding requiring a blood transfusion, ultrasound evidence of uterine AVM, and a treatment method of expectant management using an intrauterine device in an attempt to preserve fertility.
authors.affiliation: Albert Einstein College of Medicine, Jacobi Medical Center, Department of Emergency Medicine, Bronx, New York.
authors.forename: Sarah T
authors.initials: ST
authors.lastname: Selby
authors.forename: Marianne
authors.initials: M
authors.lastname: Haughey